19th International Rhinoplasty Workshop& 2nd Chosun Aging face Symposium ソウル、韓国　2015/10/09-11

学会活動 2015年10月9日

>>　 Glabella and forehead augmentation in Oriental rhinoplasty
>>　 Spring Thread for face lift
>>　 Clinical experiences of glamorous line plasty
>>　 Daily Program (pdf)
>>　 Letter of thanks

history of dorsal implantseptal extension with septal cartilage

forehead implant model made of methyl methacrylate and nasal implant model of acryl paste

>>　19th International Rhinoplasty Workshop& 2nd Chosun Aging face Symposium

>>　 Spring Thread for face lift

>>　 Clinical experiences of glamorous line plasty

Spring Thread for face lift

Spring ThreadTM is the elastic suspension thread with cogs made of silicone rubber. Each cog is mechanically strong and large enough to provide secure anchorage of subcutaneous fat tissue. The elasticity of the thread can prevent the loss of anchorage even in the facial skin being stretched.

Procedure
Spring thread has cogs arranged in bi-direction manner; I cut a thread in the midpoint to produce from one to two treads with unidirectional cogs.

Through a 2 to 3 cm long incision in the temporal area, the subcutaneous dissection is performed just below the zygomatic arch.

Sprig threads are introduced into the subcutaneous pocket and inserted in the subcutaneous soft tissue (fat layer) using a special spatula needle pin provided by 1st surgiconcept company.

12 threads or even more are used for one side of cheek. The distal end of thread, which is smooth in surface with no cog, is penetrated at the skin along the lower margin of cheek sagging (jowl deformity).

The thread end is pulled out until the most distal cog arrives at 1cm deep to the skin surface. The threads in the temporal region are placed in a neutral tension. They are then pulled superiorly by 1 cm and fixed to the temporal fascia with nylon suture. The distal and proximal ends of thread are trimmed and temporal skin wound is closed.

From my clinical experiences with various cog threads I have found the spring thread can suspend the facial soft tissue with minimal chance of anchor breaking.

I believe traction of threads with full strength in the temporal area is not necessary but can be harmful; excessive pull can not only cause an unnatural appearance but also readily lead to anchor loss. Therefore I suspend the lower cheek tissue in the superior direction by 1 cm.

A case with loose redundant skin in the cheekwas treated with upper cheek dissection with thread lift

The elevation of lower cheek tissue has produced excess skin in the area of dissection and made a hallow and bulge

I suggest to extend the dissection into the temporal region, elevate the lower cheek with spring lift and suspend the upper cheek skin superiorly to the temporal fascia

A case with loose skin was treated with upper cheek and temporal dissection with thread lift

>>　19th International Rhinoplasty Workshop& 2nd Chosun Aging face Symposium

>>　 Glabella and forehead augmentation in Oriental rhinoplasty

>>　 Clinical experiences of glamorous line plasty

Clinical experiences of glamorous line plasty

① large round eye 大而圆
② downward convex curved line of lower eyelid margin
下眼睑边缘鱼白的形状向下向外

This lady is Ayumi Hamazaki, a popular singer in Japan. She was most popular image for my clients before Angela Baby became popular.

The capsuropalpebral fascia is sutured to the lower margin of the tarsal plate at three points 下眼睑的腱膜往睑板的缝合的位置
① mid-pupil 黑眼球的中央
② lateral limb 　黑眼球的外侧边缘
③ midpoint between the lateral limb and lateral canthus 黑眼球的外侧边缘到眼外角的中间点